Isithwebuli samadolo ukuhlolwa okunamandla, okuvumela ukuhlaziywa okuthembekile kwedolo, ngobukhulu obungu-3. Kepha, izinkomba zayo zinembile. Kunconyelwa ikakhulukazi ukuthola ukuphuka kwemilingo noma ukwenza ukuhlolwa okuqondile kokuphuka.

Isithwebuli inqubo yokufanekisa, evumela ukuhlaziywa okuqondile kakhulu kwamajoyini kune-x-ray, enikeza ubukhali obuhle nokubona oku-3-ntathu.

"I-CT scan akusiyona eyokuhlolwa komugqa wokuqala emadolweni," kuchaza uDkt Thomas-Xavier Haen, udokotela ohlinzayo wamadolo. Ngempela, isithwebuli sisebenzisa isilinganiso esikhulu kakhulu se-X-ray, ngakho-ke kufanele sicelwe kuphela uma ezinye izivivinyo (i-X-ray, i-MRI, njll.) Zingakwazanga ukuthola kahle ukuxilongwa. "

Iskena sisebenza ikakhulukazi ekuhlaziyeni ukwakheka kwamathambo. “Ngakho-ke, lokhu ukuhlolwa kokukhetha kwe:

• thola ukuphuka kwemilingo, okusho ukuthi akubonakali kuma-radiographs ajwayelekile;
• yenza ukuhlolwa okuqondile kokuqhekeka (isibonelo: ukuphuka okuyinkimbinkimbi kwethafa le-tibial), ngaphambi kokuhlinzwa, ”kuqhubeka uchwepheshe.

“Kungabekwa futhi ngudokotela ohlinzayo ukuthi:

• ukusebenza okuhle kakhulu okufana nokuhlinzwa kwe-patella esuswe (kuvame kakhulu kwintsha),
• noma ngaphambi kokufaka isitho esenziwe ngokwezifiso esenziwe ngamadolo ”.

Ekugcineni, ukuhlolwa okubalulekile lapho kusolwa isimila sethambo.

I-CT arthrography: ngokunemba okwengeziwe

Kwesinye isikhathi, uma kusolwa i-meniscal noma i-cartilage lesion, udokotela anga-oda i-CT arthrography. Kususelwa kusithwebuli esivamile, kuhlanganiswe nomjovo womkhiqizo ohlukile kujoyini, okuzovumela ukuhlaziywa okuningiliziwe kwemvelo yamadolo futhi kuveze ukulimala kwangaphakathi okungaba khona.

Ngalo mjovo, i-anesthesia yendawo yenziwa ukugwema izinhlungu ngesikhathi somjovo womkhiqizo ohlukile.

Akukho ukulungiswa okuqondile kokuthwebula amadolo. Ukuhlolwa okusheshayo nokulula okuthatha kuphela imizuzu embalwa. Njenganoma yikuphi ukuhlolwa kwe-x-ray, isiguli kufanele sisuse noma iyiphi into eyinsimbi emlenzeni othintekile. Ngemuva kwalokho uzolala ngomhlane etafuleni lokuhlola. Itafula lizongena ngaphakathi kweshubhu futhi indandatho yesithwebuli equkethe ama-X-ray izophenduka ukuze kwenziwe ukutholwa okuhlukahlukene.

Ngesikhathi sokuhlolwa, i-radiologist izokhuluma nesiguli ngombhobho ukuze isiqinisekise futhi iphendule noma imiphi imibuzo.

“Ngaphambi kokuba kwenziwe i-CT scan, kubalulekile ukutshela udokotela uma ukhulelwe noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe, nokuthi uma uxabana nomshini ohlukanisa izinto onodonga,” kukhumbula uDkt. Haen. "Kulokhu kwesibili, sizosebenzisa omunye umkhiqizo ohlukile."

"Izingxenye ezimbili kwezintathu zamaskena amadolo zenziwa ngaphandle komjovo", kuqhubeka umxhumanisi wethu. Kepha kwezinye izimo, ngokwesibonelo uma i-MRI ingaphelele, kunqunywa i-arthrography ye-CT, efaka futhi umjovo womkhiqizo ohlukile we-iodine ejoyintini usebenzisa inaliti, ukuze ufunde leso simo. okuqukethwe (ama-menisci, ama-cartilage…) kahle kakhulu ”.

Umjovo walo mkhiqizo awubalulekile: ngakho-ke iziguli zingakwazi ukuzwa ukushisa emzimbeni wonke, futhi ilunga lingasabela ngokuvuvukala izinsuku ezimbalwa. Ukutheleleka kwejoyini kungenzeka, kepha lokhu kwehlukile.

Endabeni yokufakelwa kwamadolo

Esinye isimo: isiguli esine-prosthesis yamadolo. “I-CT scan kwesinye isikhathi ingadingeka ukuthola imbangela yenkinga ngokufakelwa kwamadolo (ubuhlungu, ukuvimba, njll.). Kuwukuhlola okuwusizo kakhulu, ukuthola okufakelwayo okuphuma ngaphandle, idolo elixegayo, okufakelwayo okuhlukaniswe nethambo… ”. Okuwukuphela kokukhathazeka ukuphazanyiswa yinsimbi equkethwe kwi-prosthesis kungadala. Lokhu kungadida ukuhunyushwa kwezithombe, ngakho-ke kuyadingeka ukuthi i-radiologist iguqule imingcele ethile yekhompyutha.

Ngokulethwa kwezithombe, i-radiologist izonikeza umbiko wokuqala esigulini, simvumele aqonde ubunzima, noma cha, besimo. "Udokotela noma udokotela ohlinzayo oyale ukuthi kuhlolwe naye uzocubungula lezi zithombe, ukuze akhombise esigulini iziphetho nezincomo zakhe", kwengeza umxhumanisi wethu.

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